Laura Leach, PhD

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BACKGROUND: Multiple Sclerosis Centers of Excellence: (MSCoE) 2001: Congress urged VHA to establish 2 MSCoE • Mandated establishment of National Standards for the care of veterans with MS: Clinical Care, Education and Research 2002: Selected VA Medical Centers in: • Baltimore, MD (MSCoE: East) • Jointly-based in Portland & Seattle (MSCoE:West) 2006: Veteran’s Benefits and Information Technology Act. Made the MSCoE permanent.
MISSION: Multiple Sclerosis Centers of Excellence (VHA Handbook 1011.06, Revised 2009) To Support and Maintain the: • Health • Independence • Quality of Life • Productivity of Veterans with MS through clinical care, education and research
Page 2 and 3: ADDRESSING THE COGNITIVE CHALLENGES
Page 4 and 5: DISCLOSURES • This continuing edu
Page 8 and 9: MULTIPLE SCLEROSIS SYSTEMS OF CARE
Page 10 and 11: HEALTH MANAGEMENT ISSUES CONTINUUM
Page 12 and 13: Model of Care for the Denver VA Med
Page 14 and 15: VA Facilities That Participated in
Page 16 and 17: Professional Roles
Page 18 and 19: Frequency of MS Team Meetings
Page 20 and 21: Disciplines Providing Follow-Up Bet
Page 22 and 23: Number of MS Patients Seen/Treated
Page 24 and 25: Services Provided to Cognitively Im
Page 26 and 27: Percentage of Patients Referred for
Page 28 and 29: Percentage of Patients Referred for
Page 30 and 31: Referral Sources for Cognitive Reha
Page 32 and 33: Providers of Cognitive Rehabilitati
Page 34 and 35: Multiple Sclerosis and Cognition
Page 36 and 37: Multiple Sclerosis and Cognition
Page 38 and 39: Assessment of Cognition in Individu
Page 40 and 41: Types of Cognitive Assessment • S
Page 42 and 43: Screening Tools - Disadvantages •
Page 44 and 45: Comprehensive Batteries and Flexibl
Page 46 and 47: Comprehensive Batteries • The Hal
Page 48 and 49: Flexible Batteries: Processing Spee
Page 50 and 51: Flexible Batteries: Visuospatial Sk
Page 52 and 53: Flexible Batteries: Verbal Skills
Page 54 and 55: New Cognitive Assessment Measures
Page 56 and 57:
COGNITIVE REHABILITATION • Techni
Page 58 and 59:
COGNITIVE REHABILITATION PROFESSION
Page 60 and 61:
MENTAL HEALTH & COGNITION How you f
Page 62 and 63:
DATA SYNTHESIS & CONCLUSIONS (O'Bri
Page 64 and 65:
RESULTS: (N=16 with MS, & 16 matche
Page 66 and 67:
MAPSS-MS Study Stuifbergen,et al 20
Page 68 and 69:
RECOMMENDATION: Gerontology & MS Mo
Page 70 and 71:
TYPICALPROBLEMS IN MS • ATTENTION
Page 72 and 73:
TREATMENT STRATEGIES: Attention & I
Page 74 and 75:
LEARNING & MEMORY STRATEGIES RESTOR
Page 76 and 77:
PROBLEM SOLVING FLOWCHART DEFINE TH
Page 78 and 79:
PRAGMATIC COMMUNICATION TREATMENT:
Page 80 and 81:
HEALTHY HABITS • FATIGUE MANAGEME
Page 82:
Obtaining CME/CE Credit If you woul
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Laura Leach, PhD

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